Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $13,182.57	Facility		$1,071.52	$1,412.54	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $588.84 / $1,513.56	Professional		$501.19	$588.84	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $977.24 / $1,479.11	Professional		$562.34	$977.24	$1,479.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,122.02 / $1,318.26	Professional		$831.76	$1,122.02	$1,318.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $831.76 / $1,318.26	Facility		$537.03	$831.76	$1,318.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $954.99 / $1,412.54	Professional		$794.33	$954.99	$1,412.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,096.48	Facility		$776.25	$1,047.13	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $831.76 / $1,174.90	Facility		$549.54	$831.76	$1,174.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,023.29 / $1,445.44	Professional		$79.43	$1,023.29	$1,445.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,238.72 / $2,691.53	Facility		$1,737.80	$2,238.72	$2,691.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,122.02 / $1,584.89	Professional		$851.14	$1,122.02	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,951.21 / $7,413.10	Facility		$1,096.48	$2,951.21	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,023.29 / $1,479.11	Professional		$676.08	$1,023.29	$1,479.11